Individual provider Active NPI

Kristen Lee Smith, AU.D.

  • Audiologist
  • Cincinnati, OH
National Provider Identifier
1689823510
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-01303 Issued in OH
Practice address
4760 E Galbraith Rd
Suite 111
Cincinnati, OH 45236-6703
Phone
(513) 936-4824
Fax
(513) 791-1152
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01303 OH Primary

Addresses

Primary practice location

4760 E Galbraith Rd
Suite 111
Cincinnati, OH 45236-6703

Mailing address

4760 E Galbraith Rd
Suite 111
Cincinnati, OH 45236-6703
Phone (513) 936-4824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000000 OH Practitioner - Qualified Audiologist 7618034398 Practice locations: Cincinnati, OH; Montgomery, OH

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9200 Montgomery Rd
Suite 18a
Montgomery, OH 45242-7794
Phone (513) 936-4824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A-01303OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kricket Audiology, LLC Audiologist PastSince Apr 1, 2012 Accepting new patients
Melvin K. Gross Audiologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1689823510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "SUITE 111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-936-4824",
            "fax_number": "513-791-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD",
            "address_2": "SUITE 111",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366703",
            "telephone_number": "513-936-4824",
            "fax_number": "513-791-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.